NPI | 1134512304 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA L. KRUCHOWSKI Owner Psychiatric Nurse Practitio 907-357-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 101YP2500X Counselor Professional |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2015-03-12 |
Last Update Date | 2019-05-31 |